Evidence map›Paper›PMID 33113869›Full record

ArticleJournal of clinical medicine2020

Abnormal Nailfold Capillaries in Patients after Hand Transplantation.

Dorota Sikorska, Włodzimierz Samborski, Dorota Kamińska, Mariusz Kusztal, Jerzy Jabłecki, Kacper Nijakowski, Andrzej Oko, Marek Karczewski, Katarzyna Korybalska, Janusz Witowski

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 5 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Dorota SikorskaDepartment of Rheumatology and Rehabilitation, Poznan University of Medical Sciences, 61-545 Poznan, Poland.ORCID 0000-0001-7326-6916
Włodzimierz SamborskiDepartment of Rheumatology and Rehabilitation, Poznan University of Medical Sciences, 61-545 Poznan, Poland.
Dorota KamińskaDepartment of Nephrology and Transplantation Medicine, Wroclaw Medical University, 50-556 Wroclaw, Poland.
Mariusz KusztalDepartment of Nephrology and Transplantation Medicine, Wroclaw Medical University, 50-556 Wroclaw, Poland.ORCID 0000-0002-6502-0374
Jerzy JabłeckiSubdepartment of Replantation of Limbs, St. Hedwig of Silesia Hospital, ul Prusicka 53, 55-100 Trzebnica, Poland.
Kacper NijakowskiDepartment of Conservative Dentistry and Endodontics, Poznan University of Medical Sciences, 60-812 Poznan, Poland.ORCID 0000-0002-5042-5985
Andrzej OkoDepartment of Nephrology, Transplantology and Internal Medicine, Poznan University of Medical Sciences, 60-355 Poznan, Poland.
Marek KarczewskiDepartment of General and Transplant Surgery, Poznan University of Medical Sciences, 60-355 Poznan, Poland.ORCID 0000-0002-9642-0709
Katarzyna KorybalskaDepartment of Pathophysiology, Poznan University of Medical Sciences, 60-806 Poznan, Poland.ORCID 0000-0002-6291-0814
Janusz WitowskiDepartment of Pathophysiology, Poznan University of Medical Sciences, 60-806 Poznan, Poland.
Poznan University of Medical Sciences · PLWroclaw Medical University · PLPublic Higher Medical Professional School in Opole · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe development of graft vasculopathy may play a role in the long-term deterioration of hand grafts. The aim of study was to examine the patterns of the nailfold capillaries in hand transplant recipients.

methodsthe study was performed on six patients who received hand transplantation. To normalize for the effect of immunosuppression an age- and sex-matched group of 12 patients with active kidney transplant was selected. As an additional control group, 12 healthy volunteers were recruited. Nailfold videocapillaroscopy was performed in all participants. Additionally, serum concentrations of vascular endothelial growth factor (VEGF) were measured.

resultsVideocapillaroscopic examination of the hand allografts revealed significant abnormalities: including capillary disorganization and microhaemorrhages. The number of capillaries was reduced, the vessels were enlarged and branched. Surprisingly, similar, albeit slightly less pronounced, changes were seen in the nailfolds of healthy hands of the limb transplant recipients. In kidney transplant recipients the capillaroscopic pattern was general normal and comparable to healthy individuals. Moreover, serum concentrations of VEGF in all participants correlated with average capillary diameter in capillaroscopy.

conclusionsin hand transplant recipients advanced microvascular abnormalities are found in nailfold capillaroscopic pattern in both transplanted and own extremities connected with elevated levels of VEGF.

Indexed as

angiogenesishand transplantationmicrovascular abnormalitiesnailfold capillaroscopyvascular endothelial growth factor

Identifiers

PMID33113869
PMCPMC7693261
OpenAlexW3094013579

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.